Membership Application Form

Membership Application

Memberships run January 1 through December 31
Print form using "Control - P". Complete both pages.
Send completed and signed form to address below with payment to "BISC"

Membership Category:

___ Trainer/Spouse/Minor children      $100
___ Out of Town Clinicians                 $100
___  Family Membership                     $100
___ Senior Individual Membership        $75
___ Junior Individual Membership        $65
___  1st Year Introductory Junior         $45
___ Weekend Membership                  $25
       (3 consectuive days for out-
        of-town visitors and clinic
        participants)
___ Supporting Member                     $20
       (Newsletter only)
After September 1 all memberships half price

      _____ New         ____ Renewal

Trainers: All trainers instructing on Saddle Club grounds must be members. A photocopy of certificate of insurance must accompany membership dues.

Volunteer Time: In order to keep the cost of memberships low and maintain our facility we need everyone's help.
Everyone has the ability to do something. Let us know how you might want to help out. Or, call or email Nancy Shurtleff.

I am willing to:__________________________________
______________________________________________

In lieu of volunteer time I will make a donation (included with membership fee) of _______________.

Newsletter sent via email unless checked here: ____.
(Please complete email address in space provided
above right.)

Make checks payable to: BISC

Mail completed form with checks to:
BISC
PO Box 10456
Bainbridge Island, WA 98110

Questions? Contact Nancy Shurtleff
beachdogs22@msn.com
206-842-5149

Membership Information:

Primary/Family Name:

__________________________________________

Address: __________________________________

__________________________________________

Email:_____________________________________

Phone: (home) _____________________________

(other) ______________________________

I do____/do not________ give permission for my contact information to be listed in the online membership listing.

Please print full name of family members joining the club. Date of birth is required for age divisions, which are determined by member's age.

Name and Birthdate

1. ___________________________________

2. ___________________________________

3.___________________________________

4. __________________________________

Bainbridge Island Saddle Club
Rules and Regulations

I and my family realize the risks involved with horseback riding and hereby release the Bainbridge Island Saddle Club (BISC) from any responsibility for loss, damage or injury to horse or rider.

By signing below I agree and/or give parental permission for me and/or my family to ride on the BISC property.

Additionally, I agree to the following rules:

- Execpt on public/show days, only BISC members are permitted to ride on the BISC property.
- Approved helmets are required for all riders when mounted.
- All riders who have not reached their 18th birthday must be accompanied by an adult (18 and over) when riding.
- Jumping is allowed only with trainer supervision.
- No dogs in the arena; dogs on BISC gournd must be leashed.
- If equipment is damaged, do not use it and remove it from the arena.
- Ride safely and courteously:
     ->Keep your horse under control at all times
     ->Pass left shoulder to left shoulder when traveling in opposite directions
     ->Give the right of way to horses that are jumping
     ->Halt if a rider falls off a horse

Signature (if under 18, must be signed by a parent or legal guardian):

________________________________________________________________________

Date:_________________________________

BISC - SUPPORTING BAINBRIDGE RIDERS AND THEIR HORSES